Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-25T04:05:02.283Z Has data issue: false hasContentIssue false
  • English
  • Français

A Randomized Trial Investigating Training in Motivational Interviewing for Behavioral Health Providers

Published online by Cambridge University Press:  22 November 2007

Theresa B. Moyers ,
Jennifer K. Manuel ,
Paul G. Wilson ,
Stacey M. L. Hendrickson ,
Wayne Talcott  and
Peter Durand
Theresa B. Moyers*
Affiliation:
University of New Mexico, Albuquerque, USA
Jennifer K. Manuel
Affiliation:
University of New Mexico, Albuquerque, USA
Paul G. Wilson
Affiliation:
Elmendorf Air Force Base, USA
Stacey M. L. Hendrickson
Affiliation:
University of New Mexico, Albuquerque, USA
Wayne Talcott
Affiliation:
Lackland Air Force Base, USA
Peter Durand
Affiliation:
North Florida/South Georgia Veterans Health System
*
Reprint requests to Theresa B. Moyers, Department of Psychology, Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, N.M., 87131-1161, USA. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Evidence indicates that workshop training, personalized feedback, and individual consultation can increase competence in motivational interviewing (MI) among highly motivated and skilled substance abuse counselors. Little is known, however, about the translational value of these training strategies for counselors with fewer counseling skills and less stated motivation to learn MI. This study presents evidence from a randomized, controlled trial of 129 behavioral health providers assigned to receive workshop training and enrichments to learn MI. A diverse group of Air Force behavioral health providers working in substance abuse treatment programs were trained in MI and subsequently observed in clinical sessions at 4, 8 and 12 months after training. Results indicate that training was effective in increasing the skill level of these clinicians; however, these gains had decreased by the 4-month follow-up point. Training enrichments in the form of personalized feedback and consultation phone calls did not have an expected, additive effect on clinician skill level. The results of this study lend support to the hypothesis that a greater investment of resources and incentives may be necessary to achieve gains in MI skills for counselors with relatively lower baseline skills than those commonly participating in research studies.

Keywords

Motivational interviewingdisseminationpsychotherapy trainingalcohol misuse
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 2 , March 2008 , pp. 149 - 162
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baer, J. S., Rosengren, D. B., Dunn, C. W., Wells, E. A., Ogle, R. L. and Hartzler, B. (2004). An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians. Drug and Alcohol Dependence, 73, 99–106.CrossRefGoogle ScholarPubMed
Carroll, K. M., Ball, S. A., Nich, C., Martino, S., Frankforter, T. L., Farentinos, C., Kunkel, L. E., Mikulich-Gilbertson, S. K., Morgenstern, J., Obert, J. L., Polcin, D., Snead, D. and Woody, G. E. (2006). Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: a multisite effectiveness study. Drug and Alcohol Dependence, 81, 301–312.CrossRefGoogle ScholarPubMed
Carroll, K. M. and Rounsaville, B. J. (2003). Bridging the gap: a hybrid model to link efficacy and effectiveness research in substance abuse treatment. Psychiatric Services, 54, 333–339.CrossRefGoogle Scholar
Cicchetti, D. V. (1994). Guidelines, criteria and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290.CrossRefGoogle Scholar
Hettema, J., Steele, J. and Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.CrossRefGoogle ScholarPubMed
McLellan, A. T., Carise, D. and Kleber, H. D. (2003). Can the national addiction treatment infrastructure support the public's demand for quality care? Journal of Substance Abuse Treatment, 25, 117–121.Google ScholarPubMed
Miller, W. R. and Mount, K. A. (2001). A small study of training in motivational interviewing: does one workshop change clinician and client behavior? Behavioural and Cognitive Psychotherapy, 29, 457–471.CrossRefGoogle Scholar
Miller, W. R. and Rollnick, S. (2002). Motivational Interviewing: preparing people to change addictive behaviors (2nd ed.). New York: Guilford Press.Google Scholar
Miller, W. R., Rollnick, S. and Moyers, T. B. (1998). Motivational Interviewing: professional training videotape series. University of New Mexico: Center on Alcoholism, Substance Abuse and Addictions.Google Scholar
Miller, W. R., Sorenson, J. L., Selzer, J. A. and Brigham, G. S. (2006). Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. Journal of Substance Abuse Treatment, 31, 25–39.CrossRefGoogle ScholarPubMed
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J. and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72, 1050–1062.CrossRefGoogle ScholarPubMed
Moyers, T. B., Martin, T., Manuel, J. K., Hendrickson, S. M. L. and Miller, W. R. (2005). Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment, 28, 19–26.CrossRefGoogle ScholarPubMed
Moyers, T. B., Martin, T., Manuel, J. K. and Miller, W. R. (2003). The motivational interviewing treatment integrity (MITI) code. Version 2.0. Available http://www.casaa.unm.edu/download/miti.pdf. Retrieved October 25, 2006.Google Scholar
Najavits, L. M., Crits-Christoph, P. and Dierberger, A. (2000). Clinicians' impact on the quality of substance use disorder treatment. Substance Use and Misuse, 35, 2161–2190.CrossRefGoogle ScholarPubMed
Rubell, E. C., Sobell, L. C. and Miller, W. R. (2000). Effectiveness of a workshop on motivational interviewing with alcohol abusers. Behavior Therapist, 23, 73–77.Google Scholar
Schoener, E. P., Madeja, C. L., Henderson, M. J., Ondersma, S. J. and Janisse, J. J. (2006). Effects of motivational interviewing training on mental health therapist behavior. Drug and Alcohol Dependence, 82, 269–275.CrossRefGoogle ScholarPubMed
Shafer, M. S., Rhode, R. and Chong, J. (2004). Using distance education to promote the transfer of motivational interviewing skills among behavioral health professionals. Journal of Substance Abuse Treatment, 26, 141–148.CrossRefGoogle ScholarPubMed
Smith, J. L., Amrhein, P. C., Brooks, A. C., Carpenter, K. M., Levin, D., Schreiber, E. A., Travaglini, L. A. and Nunes, E.V. (2007). Providing live supervision via teleconferencing improves acquisition of motivational interviewing skills after workshop attendance. The American Journal of Drug and Alcohol Abuse, 33, 163–168.CrossRefGoogle ScholarPubMed
Tappin, D. M., McKay, C., McIntyre, D., Gilmour, W. H., Cowan, S., Crawford, F., Currie, F. and Lumberson, M. (2000). A practical instrument to document the process of motivational interviewing. Behavioural and Cognitive Psychotherapy, 28, 17–32.CrossRefGoogle Scholar
Walters, S. T., Matson, S. A., Baer, J. S. and Ziedonis, D. M. (2005). Effectiveness of workshop training for psychosocial addiction treatments: a systematic review. Journal of Substance Abuse Treatment, 29, 283–293.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.